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Consolidated Statements Of Cash Flows (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash Flows from Operating Activities:      
Net income $ 181,951us-gaap_ProfitLoss $ 187,794us-gaap_ProfitLoss $ 178,287us-gaap_ProfitLoss
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization 58,888us-gaap_DepreciationDepletionAndAmortization 54,596us-gaap_DepreciationDepletionAndAmortization 52,408us-gaap_DepreciationDepletionAndAmortization
Gain on disposition of pharmaceutical product lines     (3,500)us-gaap_DisposalGroupNotDiscontinuedOperationGainLossOnDisposal
Provision for uncollectible accounts 2,035us-gaap_ProvisionForDoubtfulAccounts 1,601us-gaap_ProvisionForDoubtfulAccounts 1,108us-gaap_ProvisionForDoubtfulAccounts
Provision for (benefit of) deferred income taxes 830us-gaap_DeferredIncomeTaxExpenseBenefit 2,073us-gaap_DeferredIncomeTaxExpenseBenefit (1,970)us-gaap_DeferredIncomeTaxExpenseBenefit
Share-based compensation expense 18,099us-gaap_ShareBasedCompensation 16,539us-gaap_ShareBasedCompensation 15,952us-gaap_ShareBasedCompensation
Other (160)us-gaap_OtherOperatingActivitiesCashFlowStatement 614us-gaap_OtherOperatingActivitiesCashFlowStatement 410us-gaap_OtherOperatingActivitiesCashFlowStatement
Tax benefit from share-based compensation arrangements (16,078)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (14,158)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (14,676)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Changes in assets and liabilities:      
Accounts receivable (3,626)us-gaap_IncreaseDecreaseInAccountsReceivable (15,946)us-gaap_IncreaseDecreaseInAccountsReceivable 3,487us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories (38,310)us-gaap_IncreaseDecreaseInInventories (1,347)us-gaap_IncreaseDecreaseInInventories (17,208)us-gaap_IncreaseDecreaseInInventories
Other assets (25,073)us-gaap_IncreaseDecreaseInOtherOperatingAssets (4,325)us-gaap_IncreaseDecreaseInOtherOperatingAssets 3,933us-gaap_IncreaseDecreaseInOtherOperatingAssets
Accounts payable 6,703us-gaap_IncreaseDecreaseInAccountsPayableTrade (4,399)us-gaap_IncreaseDecreaseInAccountsPayableTrade (2,898)us-gaap_IncreaseDecreaseInAccountsPayableTrade
Accrued liabilities 36,392us-gaap_IncreaseDecreaseInAccruedLiabilities 16,512us-gaap_IncreaseDecreaseInAccruedLiabilities 187us-gaap_IncreaseDecreaseInAccruedLiabilities
Deferred revenue 14,195us-gaap_IncreaseDecreaseInDeferredRevenue 6,442us-gaap_IncreaseDecreaseInDeferredRevenue 6,888us-gaap_IncreaseDecreaseInDeferredRevenue
Net cash provided by operating activities 235,846us-gaap_NetCashProvidedByUsedInOperatingActivities 245,996us-gaap_NetCashProvidedByUsedInOperatingActivities 222,408us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash Flows from Investing Activities:      
Purchases of property and equipment (60,523)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment [1] (77,612)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment [1] (57,618)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Proceeds from disposition of pharmaceutical product lines   3,500us-gaap_ProceedsFromSaleOfOtherProductiveAssets 3,000us-gaap_ProceedsFromSaleOfOtherProductiveAssets
Proceeds from sale of equity investment 5,400us-gaap_EquityMethodInvestmentNetSalesProceeds    
Proceeds from sale of property and equipment     45us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment
Acquisitions of intangible assets (175)us-gaap_PaymentsToAcquireIntangibleAssets (1,024)us-gaap_PaymentsToAcquireIntangibleAssets (900)us-gaap_PaymentsToAcquireIntangibleAssets
Acquisitions of a business, net of cash acquired (25,115)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (10,923)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (2,658)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Net cash used by investing activities (80,413)us-gaap_NetCashProvidedByUsedInInvestingActivities (86,059)us-gaap_NetCashProvidedByUsedInInvestingActivities (58,131)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash Flows from Financing Activities:      
Borrowings (payments) on revolving credit facilities, net 272,000us-gaap_ProceedsFromRepaymentsOfOtherDebt 65,000us-gaap_ProceedsFromRepaymentsOfOtherDebt (31,000)us-gaap_ProceedsFromRepaymentsOfOtherDebt
Issuance of senior notes 200,000us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt 150,000us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt  
Debt issue costs (1,406)us-gaap_DebtIssuanceCosts (976)us-gaap_DebtIssuanceCosts  
Payment of notes payable (1,394)us-gaap_RepaymentsOfSecuredDebt (1,107)us-gaap_RepaymentsOfSecuredDebt (917)us-gaap_RepaymentsOfSecuredDebt
Repurchases of common stock (618,158)us-gaap_PaymentsForRepurchaseOfCommonStock (367,761)us-gaap_PaymentsForRepurchaseOfCommonStock (132,268)us-gaap_PaymentsForRepurchaseOfCommonStock
Proceeds from exercises of stock options and employee stock purchase plans 29,442us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions 38,235us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions 24,166us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions
Tax benefit from share-based compensation arrangements 16,078us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 14,158us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 14,676us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Net cash used by financing activities (103,438)us-gaap_NetCashProvidedByUsedInFinancingActivities (102,451)us-gaap_NetCashProvidedByUsedInFinancingActivities (125,343)us-gaap_NetCashProvidedByUsedInFinancingActivities
Net effect of changes in exchange rates on cash (8,517)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents (2,414)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 1,157us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase in cash and cash equivalents 43,478us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 55,072us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 40,091us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period 279,058us-gaap_CashAndCashEquivalentsAtCarryingValue 223,986us-gaap_CashAndCashEquivalentsAtCarryingValue 183,895us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period 322,536us-gaap_CashAndCashEquivalentsAtCarryingValue 279,058us-gaap_CashAndCashEquivalentsAtCarryingValue 223,986us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental Disclosures of Cash Flow Information      
Interest paid 12,284us-gaap_InterestPaidNet 5,024us-gaap_InterestPaidNet 3,944us-gaap_InterestPaidNet
Income taxes paid 60,239us-gaap_IncomeTaxesPaidNet 67,721us-gaap_IncomeTaxesPaidNet 68,921us-gaap_IncomeTaxesPaidNet
Supplemental Disclosure of Non-Cash Information:      
Market value of common shares received from employees in connection with share-based compensation - see Note 17 5,809us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation 4,548us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation 4,662us-gaap_AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation
Receivable on disposition of pharmaceutical product lines     $ 3,500us-gaap_NoncashOrPartNoncashDivestitureAmountOfConsiderationReceived1
[1] Expenditures for long-lived assets exclude expenditures for intangible assets. See Note 3 for information regarding acquisitions of intangible assets during the years ended December 31, 2014, 2013 and 2012.